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Urethra Rebuild For Hypospadias, Longer Segment

Indiana rates for HCPCS 54312

A staged operation that rebuilds a longer length of the urethra, the tube that carries urine out of the body, in a boy born with the opening in the wrong place. Tissue already at the site is formed into the new channel; versions that bring in a skin graft from elsewhere on the body are a different operation. What sets this version apart is the length of urethra rebuilt.

Rates data updated July 2026.

Facilitymedian $10,233 · 10th–90th $2,138$17,7830%5%10%10th90th$10,233Professionalmedian $955 · 10th–90th $794$1,4790%20%10th90th$955$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$6,918.31
Typical High
$11,220.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$831.76
Typical High
$1,071.52
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$524.81
Typical High
$524.81
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$11,481.54
Typical High
$18,620.87
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,071.52
Typical High
$1,659.59
CareSource
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$831.76
Typical High
$933.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,238.72
Typical High
$2,238.72
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,096.48
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$7,413.10
Typical High
$10,964.78
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$977.24
Typical High
$1,548.82